Bushido Club Registration Form
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Registration can be completed by filling out the form below, or in person.  Please note that the Annual Registration Fee is non-refundable.

We can prorate your session fees, if you're starting mid-session.

Per 15 week Session Rate::

1x/week=$185

2x/week=$345

3x/week=$435

4x/week=$515

5x/week=$575

*Plus Registration fee (insurance and registration for the year, NON-refundable).  Please note fee varies depending on age group and programming as follows:

$35 per session or $65 for the year (13 yrs and younger only)
$65 Provincial-yearly (14yrs plus)
$80 Competitive-yearly
$100 Nationals/competitive-yearly

**Plus $50 for in house games (NON-refundable-all categories participate in games).  Funds from Personal Fundraising account can be used.

Session 1: Sep 9, 2017 - Dec 23, 2017

Session 2:  Jan 6, 2018 - Apr 28, 2018

In-Person Registration for Session 1  (Sep 9, 2017 from 2pm-5pm at Pan Am Pool)

For Session 2 at Pan Am Pool Lobby (Exact date & time TBD Dec  2017)

Also, each additional sibling registering for a full session gets 20% off their session fee.  *Deduction applies to lower session fee only.  Deduction will not be made to registration fee*.   Deduction only applies to regular programming (Intro classes not eligible for discount).

Bushido Club Registration
  1. Athlete Registration
  2. Name(*)
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  3. Birthdate(*)
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  4. Gender(*)
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  5. Address(*)
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  6. Phone(*)
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  7. Email(*)
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  8. Family Medical #(*)
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  9. Individual Medical #(*)
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  10. T-Shirt Size(*)






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  11. Program(*)









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  12. Competitive Athletes
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  13. Parent Interest
  14. Parent involvement with Bushido is strongly encouraged as there are many activities that rely on parent support. The more support we have, the better the program for all athletes. The following is a list of areas where you can help. Please indicate which parent is being volunteered in each area.
  15. Parent Name
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  16. Parent Phone
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  17. Parent Email
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  18. Volunteer Areas





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  19. My specific hosting interest is
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  20. How did you learn about Bushido Water Polo Club





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